Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008

Details for Mechanism ID: 5324
Country/Region: Côte d'Ivoire
Year: 2007
Main Partner: University of North Carolina
Main Partner Program: Carolina Population Center
Organizational Type: University
Funding Agency: USAID
Total Funding: $0

Funding for Strategic Information (HVSI): $0

MEASURE Evaluation JSI (ME-JSI) provides the government of Côte d'Ivoire and implementing partners with technical and material assistance in standardizing and strengthening the collection, management, utilization, and dissemination of HIV/AIDS monitoring and indicator data. The Ministry of the Fight Against AIDS (MLS) has overall responsibility for planning, coordination, and monitoring and evaluation of the national multisectoral and decentralized response. The Ministry of Health's (MOH) Department of Information Planning, Monitoring and Evaluation (DIPE) has primary responsibility for HIV/AIDS data within the health sector. Other sectoral ministries, such as Family and Social Affairs (MFAS), Education, and Defense, are responsible for sector-specific HIV/AIDS data collection and use. ME-JSI's support to the MLS, MOH, and MFAS is primarily aimed at building capacity at the national, regional, and district levels and in civil society for improving the quality of collected information and of data use for decision-making.

FY06 activities, expected results, and planned FY07 activities are described in the following two sections.

I. Technical Assistance to the MOH

With FY06 funds, ME-JSI has provided technical assistance to the MOH to adapt the WHO HIV/AIDS patient longitudinal monitoring data-collection tools based on revised national HIV/AIDS indicators. A training of trainers was conducted with a pool of 18 health workers, data managers, central-level staff, and other EP partners. For the integrated HMIS, restitution of the pilot phase was completed, and the data collections have been validated.

1- Integration of HIV/AIDS Information System Into the National HMIS National HIV/AIDS indicators were revised in January 2006 to take into account information needs of the various partners involved in HIV/AIDS activities (MOH, WHO, UNAIDS, Global Fund, EP). Appropriate data-collection tools were developed in collaboration with other partners. In FY07, ME-JSI will work closely with the USG team, WHO, UNAIDS, Global Fund, and the MOH to carry out the following specific tasks: • Ensure strong coordination and monthly meetings among EP partners and MOH directorates (DIPE, PNPEC, PSP, and PNLT) that will lead the development of an M&E plan for HIV/AIDS activities and data-management tools for better information sharing and timely EP reporting. • Develop a training and dissemination plan for the HIV/AIDS patient monitoring tools, in collaboration with other partners. • Continue to train staff of health facilities in the use of these tools; 50 health workers will be trained in the use of HIV/AIDS patient longitudinal monitoring data-collection tools (patient file, registers, monthly and quarterly reports, cohort-analysis form) in collaboration with DIPE, PNPEC, PSP, and other stakeholders (UNAIDS, WHO, Global Fund). • Assist in the development or adaptation, in collaboration with ACONDA, EGPAF, and CDC/RETRO-CI, of electronic medical-records software for ART patient tracking (e.g. EpiInfo, CareWare), to be chosen by the health authorities in agreement with the USG team. ME/JSI will also assist with the use of Geographic Information Systems software, such as HealthMapper, to monitor the coverage of PMTCT and care and treatment sites, as well as community-based interventions. • Organize training sessions for data managers in the use of HIV/AIDS data-management software (electronic medical-record software and other computer applications chosen by the government of Cote d'Ivoire in collaboration with the USG and other stakeholders). • Scale up the implementation of HIV/AIDS data-collection tools (for counselling and testing, PMTCT, and care and treatment) to all private and public sites, in accordance with the national scale-up plan. • Strengthen bidirectional data transfer among levels within MOH by providing Internet connection to five districts and two regions. • Provide six computers to six HIV/AIDS sites (three care and treatment, two PTMCT, and one CT) in collaboration with EGPAF. • Maintain and improve the decision-support module of the EP indicator monitoring system (CIPMS) software. • Facilitate participation in the CESAG M&E workshop by one staff member with relevant responsibility for supporting the PNPEC.

• Provide a high-speed Internet connection to the PNPEC. • Assist the MOH in conducting supportive and formative supervision on HIV/AIDS data management at the district level. • Select a "cabinet" to assess the feasibility of Internet connection at the facility level and, in consultation with the CDC/HQ SI team, implement recommendations in at least one region. • Conduct a rapid evaluation of the use of HIV/AIDS patient longitudinal monitoring data-collection tools.

II. Technical Assistance to the MLS and the Ministry of Family and Social Affairs

The MLS is charged with coordinating the overall fight against HIV/AIDS in Cote d'Ivoire, including its M&E strategy. The MLS is specifically responsible for community-based (non-facility-based) HIV/AIDS data collection and processing. The NGO Alliance Côte d'Ivoire, an EP implementing partner, supports the MLS in collecting and managing community-based program data, including for HIV prevention, care, and treatment-literacy programs.

1- Implementation of the National M&E Plan In July 2006, the MLS developed a five-year strategic plan, with technical assistance from ME-JSI regarding M&E and definition of intervention areas. With FY07 funds, ME/JSI will carry out the following tasks: • Assist the MLS in conducting supportive and formative supervision and M&E training for the decentralized committees' M&E staff. • In collaboration with the MOH, UNAIDS, and Global Fund, finalize data-management software to support data retrieval and exchange between the various databases of the MLS and its partners involved in HIV/AIDS activities. The resulting database will exchange and retrieve data from SIGvision, CRIS, and Alliance CI software and will serve as the national M&E database for community interventions. • Install and train at least four MLS staff and partners in the use of this software. • Support participation in the CESAG M&E workshop by one new DPPSE/MLS staff member. • Hire an information technology officer. • Provide computer equipment to improve the timeliness and completeness of HIV/AIDS data.

2- Strengthening of the OVC Community-Based Information System The USG funds Alliance CI to manage community-based program reporting carried out by NGOs, CBOs, and FBOs. Côte d'Ivoire also has a national OVC program (PNOEV), under the Ministry of Family and Social Affairs, which is in charge of coordinating all OVC activities in the country. In collaboration with FHI, ME/JSI provides technical assistance to the PNOEV to implement an OVC M&E system linked to the overall MLS-supported M&E system. With FY07 funds, ME-JSI will carry out the following tasks: • Assist the PNOEV in conducting a midterm evaluation of data-collection tools. • Assist in the training of PNOEV partners in both M&E and the use of data-collection tools.